2型糖尿病患者平衡功能的分析与评价

Analysis and evaluation of the balance function in patients with type 2 diabetes

目的:评价2型糖尿病患者的平衡功能并分析其特点,分析本体觉、视觉、前庭觉在平衡维持中的权重。方法:研究对象分为对照组(37例)和糖尿病组(33例),分别进行硬平板和泡沫板的睁、闭眼共计6种感觉模式的平衡功能测试。结果:1在前后方向,糖尿病组的本体觉、视觉及前庭觉评分分别为93.96±7.95、80.22±16.24、70.87±20.99,对照组分别为98.00±2.18、91.44±6.01、80.44±7.81,2组比较均差异有统计学意义(P<0.05)。2在侧方向,糖尿病组的视觉及前庭觉评分分别为80.39±12.60、73.96±16.04,对照组分别为92.11±4.50、83.18±9.45,差异有统计学意义(P<0.05);而本体觉评分2组差异无统计学意义(P>0.05)。3稳定极限范围对照组、糖尿病组分别为(176.47±44.13)mm2、(143.13±62.30)mm2,差异有统计学意义(P<0.05)。4糖尿病患者中头晕组和无头晕组的感觉结构评分及稳定极限范围差异无统计学意义(P>0.05)。结论:2型糖尿病患者出现平衡能力下降,在维持平衡的3种感觉结构中,以前庭觉和视觉明显下降为主要特点。

Objective：Evaluation and analyze the characteristics of balance function in patients with type 2diabetes,and to find out the importance of proprioception,vision and vestibular in postural control.Method：All subjects were divided into two groups,37 normal individuals,33 patients with type 2diabetes mellitus.All were assessed by computerized posturography under six upright stance conditions：including standing on the firm surface and foam with eyes open and closed.Result：1On anteroposterior,the scores of proprioception,vision and vestibular were 93.96±7.95,80.22±16.24,70.87±20.99,the normal were 98.00±2.18,91.44±6.01,80.44±7.81.There were significances between diabetes mellitus group and normal control group（P0.05）respectively.2On lateral,the scores of vision and vestibular were 80.39±12.60,73.96±16.04,and the normal were 92.11±4.50,83.18±9.45.There were significances with P0.05 between diabetes mellitus group and normal control group.However,there was no obvious difference in proprioception scores between the two groups.3The limit of stability of normal group were（176.47±44.13）mm2;diabetic group was（143.13±62.30）mm2.There was statistical significance between the group with P0.05.4In diabetic patients,there was no significant difference between the no dizziness group and the dizziness group of the scores of proprioceptive,visual,vestibular as well as stable limits,P0.05.Conclusion：The balance function of patients with type 2diabetes decreased.It is the main characteristic that the vision and vestibular decreased more significantly in the postural control.